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Pulmonary Toxicology : Disposition, Metabolism and Enzyme Kinetics Anthony J. Hickey, Ph.D., D.Sc. School of Pharmacy, UNC-Chapel Hill, NC • Introduction • Lung Deposition • Clearance Mechanisms – Mucociliary Transport – Cell Transport – Absorption • • • • Lung Cells Enzyme Expression Metabolism Conclusion Nasal Passages B l o o d T-B Airways Pulmonary Parenchyma Lymph Nodes G I T r a c t Mucus blanket Cilia Columnar epithelial cells FRACTION CLEARED PER DAY (X103) 100 MICE 10 RATS 1 PEOPLE DOGS AND GUINEA PIGS 0.1 100 200 DAYS AFTER INHALATION 300 1 µm polystyrene latex; 30 min; 60x Thompson, 1992 Passive Diffusion Facilitated Diffusion Active Transport CLEARANCE (min-1) 100 RAT RABBIT DOG SHEEP FETAL LAMB MAN, AEROSOL DOG, AEROSOL 10-1 10-2 10-3 10-4 10-5 101 102 103 104 105 MOLECULAR WEIGHT (daltons) Effros and Mason, 1985 106 • Introduction • Lung Deposition • Clearance Mechanisms – Mucociliary Transport – Cell Transport – Absorption • Lung Cells • Enzyme – Action – Expression – Distribution • Conclusion Cells of the Airway Epithelium CELL PUTATIVE FUNCTION Ciliated columnar Mucus movement Mucus (goblet) Mucus secretion Serous Periciliary fluid Clara (nonciliated epithelial) Surfactant production, xenobiotic metabolism Brush Transitional form of ciliated epithelial cell Basal Progenitor for ciliated epithelial cell and goblet cell Intermediate Transitional cell in differentiation of basal cell Neuroendocrine Chemoreceptor, paracrine function Alveolar Type I Alveolar gas exchange Alveolar Type II Surfactant secretion, differentiation to type I cell Alveolar Macrophages Pulmonary defense Mast Immunoregulation The rate of first-order kinetic reaction: d [ S ] d [ P] k[ S ] dt dt One-substrate mechanism: E+S k1 k2 ES k3 E+P A. Dependence of initial rate of reactant concentration for a simple first- or second-order chemical reaction. B. Dependence of initial rate of substrate concentration for a typical enzyme-catalyzed reaction. A Lineweaver-Burk plot (based on Michaelis-Menten Equation) Catalytic cycle of microsomal carboxylesterase (left) and microsomal epoxide hydrolase (right), two α/β-hydrolase fold enzymes. Drug and Xenobiotic Metabolism DRUG SH PHASE II DRUG Carboxyamide OH Glucuronic Acid PHASE I DRUG Conjugation NH3+ CO2- SO4- Cytochrome P450s Glucuronosyltransferases Monooxygenases Sulfotransferases Dehydrogenases Acetyltransferases Oxidases Methyltransferases Esterases Glutathione S-Transferases Glutathione Functionalization MDR1 (P-Glycoprotein) EXCRETION Courtesy: Matt Redinbo Enzymatic Systems in the Respiratory Tract • Phase I – – – – – – – CYP-450s Flavin containing mono-oxygenases (FMA) Monoamine oxidase (MAO) Aldehyde dehydrogenase NADPH cP450 reductase Esterases Epoxide hydrolase Enzymatic Systems in the Respiratory Tract • Phase II conjugating enzymes – – – – Glutathione S-transferase (GST) Sulfotransferase N-acetyltransferase methyltransferase Summary of P-450 Isozymes Reported in the Rat and Rabbit Nasal Cavities Some P-450 Isozymes Reported in Lungs of Various Species Some P-450 Isozymes Reported in Lungs of Various Species (Cont’d) Isozyme Comments General pathways of xenobiotic biotransformation and their major subcellular location. Summary of Expression of Xenobiotic-Metabolizing Enzymes in Human Lung —Phase I Enzymes Enzymes mRNA Protein Location 1A1 +++ (smokers) +++ (smokers) bronchial epithelial cells, capillary endothelium, alveolar epithelium 1A2 +/- +/- peripheral tissue 1B1 ++ +/- alveolar macrophage epithelial cells, bronchial epithelial cells 2A6 ++ +/- bronchial mucosa, epithelial cells 2A13 + ? bronchial mucosa, alveolar epithelium 2B6/7 +++ +++ Clara cells, bronchial and peripheral tissue, epithelial cells 2C8/18 + +/- Serous cells of bronchial glands, bronchial and peripheral tissue 2D6 +/- +/- bronchial mucosa 2E1 +++ +++ bronchial, bronchiolar and alveolar epithelium, endothelial cells 2F1 +++ ? alveolar macrophage epithelial cells, endothelial cells 2J2 + ++ bronchial and vascular smooth muscle cell, vascular endothelium, alveolar macrophages 2S1 + + epithelial cells 3A4/5 +++ ++ bronchial, bronchiolar and alveolar epithelium, alveolar endothelium, alveolar macrophages 3A43 + ? ? 4B1 + ? bronchoalveolar macrophages EHs ++ ++ bronchial epithelial cells Phase I CYPs FMOs ++ + ? - weak negative evidence, +/- conflicting evidence, + weak positive evidence, ++ moderate positive evidence, +++ strong evidence, ? no report Zhang, J. Y.; Fen Wang, Y.; Prakash, C., Current Drug Metabolism 2006, 7, 939-948. Summary of Expression of Xenobiotic-Metabolizing Enzymes in Human Lung —Phase II Enzymes Enzymes mRNA Protein Location +/- +/- lung tissue A1 ++ + bronchial and bronchiolar epithelium A2 ++ + bronchial and bronchiolar epithelium M1 ++ + lung tissue M2 ++ + epithelium of the terminal airways M3 ++ + ciliated airway epithelium and smooth muscle P1 ++ + bronchial and bronchiolar epithelium NATs + + bronchial epithelial cells, alveolar lining cells 1A1 + + bronchial epithelial cells 2B1b + + bronchial epithelial cells Phase II UGTs GST SULTs - weak negative evidence, +/- conflicting evidence, + weak positive evidence, ++ moderate positive evidence, +++ strong evidence, ? no report Zhang, J. Y.; Fen Wang, Y.; Prakash, C., Current Drug Metabolism 2006, 7, 939-948. Distribution of Enzymes • Upper respiratory tract – Olfactory epithelium: • CYP450 & NADPH • CYP450 levels < liver, but activities >> than liver • Epoxide hydrolase, carboxylesterase, aldehyde dehydrogenase activity > respiratory • Phase II enzymes: GST, glucoronyl transferases, sulfotransferases Distribution of Enzymes • Lower respiratory tract • Tracheobronchial region – CYP450 throughout – FMO absent in larynx and trachea • Bronchiolar region – Clara cells: • CYP450 isozymes • NADPH cP450 reductase • FMO, GST, UDP-GT, and epoxide hydrolase – Type II pneumocytes • CYP450 isozymes • NADPH cP450 reductase Distribution of Enzymes • Alveolar Macrophages: – No CYP450 • Type I cells – No metabolic activity – Susceptible to toxicity e.g. butylated hydroxytoluene is severely toxic to Type I cells • Introduction • Lung Deposition • Clearance Mechanisms – Mucociliary Transport – Cell Transport – Absorption • Lung Cells • Enzyme – Action – Expression – Distribution • Conclusion Pulmonary Enzyme Systems • CYP450 mono-oxygenase – Metabolism of endogenous FA’s, steroids, and lipid soluble xenobiotics – Note: some metabolism leads to bioactivity or carcinogens (e.g. benzo[a]pyrene) • NADPH Cytochrome P450 reductase – Identical to hepatic enzyme – Activates toxicity of paraquat and nitrofurantion (reduction of nitro grp free radical regenerates parent drug and superoxide anion lipid peroxidation and depletion of cellular NADPH) Structures of Some Acute Pulmonary Toxins J.J. Fenton, Toxicology: A Case-Oriented Approach, CRC Press, Boca Raton, FL 2002. Diesel Exhaust Particles Solid carbon core (primary particle size of 10-80 nm, agglomerates of 50-1000 nm). Adsorbed hydrocarbons. Liquid condensed hydrocarbon particles. Sulfates, nitrates, metals, or trace elements. Adapted from Marano, et al. (2002). Cell Biol Toxicol. 18(5): 315-320. ROS Formation DEP Redox Cycling PAHs Quinones CYP1A1 ROS ROS NQO-1 Also from: -activated macrophages -recruited neutrophils Hydroquinone Role of epoxide hydrolase in the inactivation of benzo[a]pyrene 4,5-oxide and in the conversion of benzo[a]pyrene to its tumorigenic diolepoxide. Two-Electron Reduction of Menadione to a Hydroquinone, and Production of Reactive Oxygen Species During its OneElectron Reduction to a Emiquinone Radical Casarett and Doull’s Toxicology: The Basic Science of Poisons, C.D. Klaassen Ed., 6th Ed. McGraw-Hill, New York, NY 2001. Hierarchical Oxidative Stress Response High GSH/GSSG Ratio Low GSH/GSSG Ratio Level of Oxidative Stress Normal Antioxidant Defense Inflammation Cell or Tissue Response Adapted from Xiao, et al. (2003). J Biol Chem. 278(50). Toxicity Comparative Metabolism of Trichloroethylene (TCE) in Mouse Hepatocytes and Lung Clara Cells Mouse Hepatocytes Cl Cl Cl CYP2E1 H CCl3CHO 90% Chloral Trichloroethylene 10% CCl3CH 2OH CCl3CH 2OGluc Trichloroethanol Trichloroethanol glucuronide CCl3COOH Trichloroacetic acid Mouse Lung Clara Cells Cl Cl Cl H CYP2E1 CCl3CHO CCl3CH 2OH Excess Chloral Trichloroethylene CCl3COOH Clara Cell Damage Green, T., Environ Health Perspect 2000, 108 Suppl 2, 261-4. CCl3CH 2OGluc The Relevance of Clara Cell in Assessing Human Risks of Toxicity: Noticing Specie Differences Different expression levels of CYP2E1 between species: mouse > rat > human TCE metabolism is 600-fold less in human lung than in mouse lung, due to lack of expression of CYP2E1 in any cell type. Number and morphology differences of Clara Cells between species Implication of involvement of alveolar type II cells A large number of mouse lung tumors express alveolar type II surfactant apoprotein. Green, T., Environ Health Perspect 2000, 108 Suppl 2, 261-4. Scanning electron micrograph of an alveolar macrophage Macrophages as a host cell for infectious microorganisms Mycobacterium tuberculosis Toxoplasma gondii pH NO NO2NO3- NH4+ H 2 O2 OH O2 O2 SOD Lysosomal enzymes GL ST LAM NH4+ O2 NADP NADPH Conclusion Particle deposition and distribution from the lungs is mediated by a number of mechanisms Conventional enzyme kinetic analysis may be used to characterize activity in lung tissue (fluids or cells). There are a number of cell types throughout the respiratory tract exhibiting differential enzyme expression and activity. Local metabolism of xenobiotics may result in toxicity (metabolism of drugs may result in efficacy or inactivation). Pathogens act, in part, by suppressing metabolism